Senior Accountant - Revenue Recognition

Veradigm•Raleigh, NC

About The Position

The Senior Revenue Accountant is responsible for the accurate recognition, recording, and reporting of revenue in accordance with US GAAP (ASC 606) within a healthcare environment. A key focus of this role is the identification, establishment, and ongoing management of specific customer-level reserves for accounts where collectability is uncertain and revenue recognition must be paused or deferred. This individual contributor role requires strong technical accounting knowledge, sound judgment in evaluating customer risk, and the ability to collaborate cross-functionally with billing, collections, and finance teams.

Requirements

Strong technical accounting knowledge
Sound judgment in evaluating customer risk
Ability to collaborate cross-functionally with billing, collections, and finance teams
Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire.

Nice To Haves

US GAAP (ASC 606) knowledge
Healthcare environment experience

Responsibilities

Record and review revenue transactions in compliance with ASC 606 and company revenue recognition policies
Perform monthly close activities including journal entries, account reconciliations, and variance analysis related to revenue accounts
Ensure proper cut-off and completeness of revenue recorded across customer accounts and service lines
Assist in the preparation of revenue-related schedules for financial reporting and audit support
Identify and evaluate customer accounts where collectability is no longer probable, triggering a pause or deferral of revenue recognition
Establish, maintain, and adjust specific customer-level reserves based on ongoing assessment of collection risk, account status, payer behavior, and supporting documentation
Partner with the billing, collections, and accounts receivable teams to obtain current account information and inform reserve decisions
Prepare and maintain detailed reserve schedules, including reserve rationale, aging analysis, and historical collection trends
Monitor reserved accounts on a recurring basis and release or increase reserves as appropriate based on updated collectability assessments
Document reserve methodology and ensure consistency of application across periods in accordance with accounting policy
Prepare monthly reserve roll-forward schedules and present findings to the Accounting Manager / Controller
Analyze revenue trends, deferred revenue balances, and reserve activity to identify anomalies or emerging risks
Support internal and external audit requests related to revenue and reserve accounts
Assist in the development and documentation of accounting policies related to revenue recognition and specific reserves
Work closely with billing, collections, and revenue cycle teams to stay informed on customer account developments
Coordinate with FP&A on revenue forecasting inputs related to reserve activity
Serve as a subject matter resource for revenue recognition and reserve questions from the broader accounting team